Stubitsch, Brian T.

Stubitsch, Brian T. is an individual health care provider with primary practice located at 2817 New Pinery Rd Divine Savior Healthcare Inc, Portage WI 53901-9257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Stubitsch, Brian T. can be contacted via phone (608) 742-4131.

Contact Information

Primary practice address
2817 New Pinery Rd Divine Savior Healthcare Inc Portage WI 53901-9257
Phone: (608) 742-4131
Fax: (608) 742-6098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 43813 020 Wisconsin

Profile Details

NPI number 1528041753
LBN Legal business name Stubitsch, Brian T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Nov 23rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528041753 NPPES
Wisconsin MEDICAID 34146600

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